The Joint Commission
Quality Check
Quality Report

Summary of Accreditation Quality Information
Tennova Healthcare-Physicians Regional Medical Center
DBA: Physicians Regional Medical Center
Org ID: 7852
900 East Oak Hill Avenue
Knoxville, TN  37917
(865)545-8000
www.tennovahealthcare.com


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date
Behavioral Health Care
Accredited 7/19/2011 7/18/2011   7/18/2011  
Home Care
Accredited 7/22/2011 7/21/2011   7/21/2011  
Hospital
Accredited 7/23/2011 7/22/2011   12/15/2011  


Accreditation programs recognized by the Centers for Medicare and Medicaid Services (CMS)
Hospital






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  Symbol Key
This organization achieved the best possible results
This organization’s performance is above the target range/value.
This organization’s performance is similar to the target range/value.
This organization’s performance is below the target range/value.
This measure is not applicable for this organization.
Not displayed
  Footnote Key
1. The measure or measure set was not reported.
2. The measure set does not have an overall result.
3. The number is not enough for comparison purposes.
4. The measure meets the Privacy Disclosure Threshold rule.
5. The organization scored above 90% but was below most other organizations.
6. The measure results are not statistically valid.
7. The measure results are based on a sample of patients.
8. The number of months with measure data is below the reporting requirement.
9. The measure results are temporarily suppressed pending resubmission of updated data.
10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
11. There were no eligible patients that met the denominator criteria.
National Patient Safety Goals and National Quality Improvement Goals
    Compared to other Joint Commission Accredited Organizations
    Nationwide Statewide
Behavioral Health Care
2011 National Patient Safety Goals See Detail
This organization’s performance is similar to the target range/value.
This Goal is not applicable for this organization.
*
Home Care
2011 National Patient Safety Goals See Detail
This organization’s performance is similar to the target range/value.
This Goal is not applicable for this organization.
*
Hospital
2011 National Patient Safety Goals See Detail
This organization’s performance is similar to the target range/value.
This Goal is not applicable for this organization.
*
National Quality Improvement Goals:    
Reporting Period:
Jan  2013 -
Dec  2013
Heart Attack Care See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
Heart Failure Care See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
Pneumonia Care See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
 
National Quality Forum The Joint Commission only reports measures endorsed by the National Quality Forum.
 
* State results are not calculated for the National Patient Safety Goals.

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Sites and Services
* Primary Location

An organization may provide services not listed here. For more information refer to the Quality Report User Guide .

Locations of Care Available Services
North Knoxville Medical Center
7565 Dannaher Drive
Powell, TN  37849
    Services:
    • CT Scanner (Imaging/Diagnostic Services)
    • Dialysis Unit (Inpatient)
    • Ear/Nose/Throat Surgery (Surgical Services)
    • EEG/EKG/EMG Lab (Imaging/Diagnostic Services)
    • Gastroenterology (Surgical Services)
    • GI or Endoscopy Lab (Imaging/Diagnostic Services)
    • Gynecological Surgery (Surgical Services)
    • Magnetic Resonance Imaging (Imaging/Diagnostic Services)
    • Medical /Surgical Unit (Inpatient)
    • Medical ICU (Intensive Care Unit)
    • Nuclear Medicine (Imaging/Diagnostic Services)
    • Ophthalmology (Surgical Services)
    • Orthopedic Surgery (Surgical Services)
    • Plastic Surgery (Surgical Services)
    • Positron Emission Tomography (PET) (Imaging/Diagnostic Services)
    • Post Anesthesia Care Unit (PACU) (Inpatient)
    • Radiation Oncology (Imaging/Diagnostic Services)
    • Sleep Laboratory (Sleep Laboratory)
    • Surgical ICU (Intensive Care Unit)
    • Teleradiology (Imaging/Diagnostic Services)
    • Thoracic Surgery (Surgical Services)
    • Ultrasound (Imaging/Diagnostic Services)
    • Urology (Surgical Services)
    Physicians Regional Medical Center  *
    900 East Oak Hill Avenue
    Knoxville, TN  37917
      Services:
      • Behavioral Health (Day Programs - Adult)
        (24-hour Acute Care/Crisis Stabilization - Adult)
        (Partial - Adult)
      • Brachytherapy (Imaging/Diagnostic Services)
      • Cardiac Catheterization Lab (Surgical Services)
      • Cardiac Surgery (Surgical Services)
      • Cardiothoracic Surgery (Surgical Services)
      • Cardiovascular Unit (Inpatient)
      • Chemical Dependency (Day Programs - Adult)
        (24-hour Acute Care/Crisis Stabilization - Adult)
        (Partial - Adult)
      • Coronary Care Unit (Inpatient)
      • CT Scanner (Imaging/Diagnostic Services)
      • Dialysis Unit (Inpatient)
      • Ear/Nose/Throat Surgery (Surgical Services)
      • EEG/EKG/EMG Lab (Imaging/Diagnostic Services)
      • Family Support (Non 24 Hour Care)
      • Gastroenterology (Surgical Services)
      • General Laboratory Tests
      • GI or Endoscopy Lab (Imaging/Diagnostic Services)
      • Gynecological Surgery (Surgical Services)
      • Gynecology (Inpatient)
      • Hematology/Oncology Unit (Inpatient)
      • Interventional Radiology (Imaging/Diagnostic Services)
      • Labor & Delivery (Inpatient)
      • Magnetic Resonance Imaging (Imaging/Diagnostic Services)
      • Medical /Surgical Unit (Inpatient)
      • Medical ICU (Intensive Care Unit)
      • Normal Newborn Nursery (Inpatient)
      • Nuclear Medicine (Imaging/Diagnostic Services)
      • Ophthalmology (Surgical Services)
      • Orthopedic Surgery (Surgical Services)
      • Orthopedic/Spine Unit (Inpatient)
      • Outpatient Clinics (Outpatient)
      • Peer Support (Non 24 Hour Care)
      • Plastic Surgery (Surgical Services)
      • Positron Emission Tomography (PET) (Imaging/Diagnostic Services)
      • Post Anesthesia Care Unit (PACU) (Inpatient)
      • Radiation Oncology (Imaging/Diagnostic Services)
      • Surgical ICU (Intensive Care Unit)
      • Surgical Unit (Inpatient)
      • Teleradiology (Imaging/Diagnostic Services)
      • Thoracic Surgery (Surgical Services)
      • Toxicology
      • Ultrasound (Imaging/Diagnostic Services)
      • Urology (Surgical Services)
      • Vascular Surgery (Surgical Services)
      St. Mary's Surgery Center
      1515 St. Mary's St.
      Knoxville, TN  37917
      Other Clinics/Practices located at this site:
      • Pain Center
      Services:
      • Ambulatory Surgery Center (Outpatient)
      • Anesthesia (Outpatient)
      • Perform Invasive Procedure (Outpatient)
      Tennova Ambulatory Care Center South
      7323 Chapman Hwy, Ste 190
      Knoxville, TN  37920
        Services:
        • Outpatient Clinics (Outpatient)
        Tennova Cardiac Rehab Services
        PRMC Professional Bldg Suite 810 900 E.Oak Hill Ave
        Knoxville, TN  37917
          Services:
          • Outpatient Clinics (Outpatient)
          Tennova Comprehensive Pain Treatment Center
          7551 Dannaher Drive
          Powell, TN  37849
            Services:
            • Anesthesia (Outpatient)
            • Outpatient Clinics (Outpatient)
            • Perform Invasive Procedure (Outpatient)
            Tennova Comprehensive Pain Treatment Center Turkey Creek
            10820 Parkside Drive, Suite 208
            Knoxville, TN  37934
              Services:
              • Anesthesia (Outpatient)
              • Outpatient Clinics (Outpatient)
              • Perform Invasive Procedure (Outpatient)
              Tennova Home Care Equipment (DME)
              314 Merchants Drive, Suite D
              Knoxville, TN  37912
                Services:
                • Canes and Crutches
                • Commodes
                • Continuous Positive Airway Pressure
                • Durable Medical Equipment
                • Hospital Beds - Electric
                • Invasive Mechanical Ventilation
                • Nebulizers
                • Oxygen
                • Patient Lifts and Accessories
                • Prosthetics (Home Medical Equipment)
                • Respiratory Equipment
                • Seat Lift Mechanisms
                • Suction Pump
                • Support Surfaces - For Beds
                • Tracheostomy Supplies
                • Ventilators Accessories/Supplies
                • Walkers, Canes and Crutches
                • Wheelchair Seating / Cushions
                • Wheelchairs - Manual Non-Custom
                • Wheelchairs-Standard Manual Accessories
                Tennova Home Care Equipment DME
                DBA:  Tennova DME
                7323 Chapman Highway Suite 16
                Knoxville, TN  37920
                  Services:
                  • Continuous Positive Airway Pressure
                  • Respiratory Equipment
                  Tennova Home Care Equipment DME
                  DBA:  Tennova DME
                  10820 Parkside Drive
                  Knoxville, TN  37934
                    Services:
                    • Continuous Positive Airway Pressure
                    • Respiratory Equipment
                    Tennova Home Care Equipment DME
                    DBA:  Tennova DME
                    7540 Dannaher Way
                    Powell, TN  37849
                      Services:
                      • Continuous Positive Airway Pressure
                      • Respiratory Equipment
                      Tennova Home Health
                      7203 Chapman Highway
                      Knoxville, TN  37920
                        Services:
                        • Home Health Aides
                        • Home Health, Non-Hospice Services
                        • Medical Social Services
                        • Occupational Therapy
                        • Physical Therapy
                        • Skilled Nursing Services
                        • Speech Language Pathology
                        Tennova Physical Therapy and Sports Medicine, North
                        7540 Dannaher Drive, Suite 200
                        Powell, TN  37849
                          Services:
                          • Outpatient Clinics (Outpatient)
                          Tennova Residential Hospice
                          7447 Andersonville Pike
                          Knoxville, TN  37938
                            Services:
                            • Hospice Care
                            Tennova Sleep Center North
                            7540 Dannaher Drive, Suite 300
                            Powell, TN  37849
                              Services:
                              • Outpatient Clinics (Outpatient)
                              Tennova Sleep Center South
                              7323 Chapman Highway
                              Knoxville, TN  37920
                                Services:
                                • Outpatient Clinics (Outpatient)
                                Tennova Sleep Center West
                                10820 Parkside Dr., 4th Floor
                                Knoxville, TN  37934
                                  Services:
                                  • Outpatient Clinics (Outpatient)
                                  Tennova Surgery Center West
                                  10820 Parkside Drive
                                  Knoxville, TN  37934
                                    Services:
                                    • Ambulatory Surgery Center (Outpatient)
                                    • Anesthesia (Outpatient)
                                    • Perform Invasive Procedure (Outpatient)
                                    Turkey Creek Medical Center
                                    10820 Parkside Drive
                                    Knoxville, TN  37934
                                      Services:
                                      • Cardiac Catheterization Lab (Surgical Services)
                                      • Cardiac Surgery (Surgical Services)
                                      • Cardiothoracic Surgery (Surgical Services)
                                      • Cardiovascular Unit (Inpatient)
                                      • CT Scanner (Imaging/Diagnostic Services)
                                      • Dialysis Unit (Inpatient)
                                      • Ear/Nose/Throat Surgery (Surgical Services)
                                      • EEG/EKG/EMG Lab (Imaging/Diagnostic Services)
                                      • Gastroenterology (Surgical Services)
                                      • GI or Endoscopy Lab (Imaging/Diagnostic Services)
                                      • Gynecological Surgery (Surgical Services)
                                      • Gynecology (Inpatient)
                                      • Interventional Radiology (Imaging/Diagnostic Services)
                                      • Labor & Delivery (Inpatient)
                                      • Magnetic Resonance Imaging (Imaging/Diagnostic Services)
                                      • Medical /Surgical Unit (Inpatient)
                                      • Medical ICU (Intensive Care Unit)
                                      • Neurosurgery (Surgical Services)
                                      • Normal Newborn Nursery (Inpatient)
                                      • Nuclear Medicine (Imaging/Diagnostic Services)
                                      • Ophthalmology (Surgical Services)
                                      • Orthopedic Surgery (Surgical Services)
                                      • Plastic Surgery (Surgical Services)
                                      • Post Anesthesia Care Unit (PACU) (Inpatient)
                                      • Radiation Oncology (Imaging/Diagnostic Services)
                                      • Sleep Laboratory (Sleep Laboratory)
                                      • Surgical ICU (Intensive Care Unit)
                                      • Teleradiology (Imaging/Diagnostic Services)
                                      • Thoracic Surgery (Surgical Services)
                                      • Ultrasound (Imaging/Diagnostic Services)
                                      • Urology (Surgical Services)
                                      • Vascular Surgery (Surgical Services)

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